Loading...



RELEASE, WAIVER OF LIABILITY, INDEMNIFICATION, HOLD HARMLESS, AND ASSUMPTION OF THE RISK AGREEMENT



I understand that if I decline to execute this document, I will not be permitted onto the premises of The Range Complex, LLC

CAUTION: THIS IS A WAIVER OF LIABILITY. READ BEFORE SIGNING.

WHEREAS, in consideration for instruction in firearms, and in consideration for the use and enjoyment of  The Range Complex, LLC’ s property, range facilities, and any and all related premises (collectively, the “Range”) for recreational, entertainment, training, or educational purposes, and for other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, and further recognizing the voluntary nature of such entry, use, and enjoyment of the Range, the undersigned person ACKNOWLEDGES, UNDERSTANDS, AND AGREES to the following:

The undersigned, intending to be legally bound, hereby waives, abandons, gives up, and releases for myself and my accompanying family members, including any minors, as well as our respective guardians, beneficiaries, heirs, executors, administrators, legal representatives, and any other persons on their behalf, any and all rights, claims, demands, causes of action, and the like for injuries (to person or property), damages, wrongful death, and loss of services attributable to any cause, including negligence and willful acts, which such person may have against The Range Complex, LLC, and any of its owners, agents, and employees, including their representatives, successors, and assigns while the undersigned is at the Range. The undersigned understands and acknowledges that such risks cannot be eliminated without compromising the essential qualities of shooting and any related activities.

I Agree

Further, the undersigned expressly, knowingly, and voluntarily assumes the risks of accidents or damages, including death, involved in engaging in the activities offered at the Range.  The undersigned understands and expressly acknowledges that (a) risks and dangers exist in the use and observation of firearms, ammunition, explosives, and related equipment;  and (b) participation in such activities and/or use of such equipment may result in injury or illness including, but not limited to, bodily injury, strains, fractures, partial and/or total paralysis, hearing loss, eye injury, blindness, heat stroke, heart attack, lead contamination, and other ailments that could cause serious bodily injury, disability, or death. The undersigned understands that this assumption of risk agreement shall remain in effect until the undersigned provided a written notice of cancellation to The Range Complex, LLC.

I Agree

The undersigned agrees to follow all safety rules posted or given verbally by any of the Range Complex, LLC staff.  The undersigned agrees to wear and provide his/her own eye and ear protection, at all times, while on the Range.

I Agree

The undersigned agrees not to be under the influence of alcohol or any other intoxicating substance at the Range.

I Agree

The undersigned agrees that The Range Complex, LLC, as well as any press or private parties present, have all rights to use  the undersigned’s photograph, image, or likeness, provided that such photograph, image, or likeness is taken while on Range property.  This use includes publishing in magazines, advertising, videos, internet websites, or the like, so long as it is not altered to show other than actual activities in a way that could be harmful to the undersigned’s character. The undersigned forfeits any rights to civil action or claims in any use of such photograph, image, or likeness as described above. All photographs and images taken on the Range property remain the property of The Range Complex, LLC and may not be used or reproduced without the express written permission of the management of The Range Complex, LLC.

I Agree

The Range Complex, LLC, is not responsible for any personal possessions if they should be lost, stolen, damaged, or destroyed, including any vehicle damage that may occur in driving or parking on or near Range property.

I Agree

THE UNDERSIGNED EXPRESSLY AGREES TO ACCEPT AND ASSUME ANY AND ALL RISKS EXISTING ON THE RANGE AND IN ENTERING ON TO THE RANGE, IN USING RANGE FACILITIES OR EQUIPMENT, IN ENGAGING IN OR OBSERVING SHOOTING OR WHILE DRIVING ON THE RANGE COMPLEX, LLC’S PROPERTY AS WELL AS ANY OTHER ACTIVITIES AT THE RANGE.

I Agree

THE UNDERSIGNED AGREES to assume all responsibility and liability for any act or acts, even any negligent, reckless or criminal act or omission to act, of the undersigned’s Guests at the Range (“Guests” includes any and all persons who are not associated with The Range Complex, LLC who enter on to the Range, use the Range facilities or engage in or observe shooting and other activities at the Range as a result of my express invitation, permission or consent). Each of the undersigned’s Guests will read and sign a “RELEASE, WAIVER OF LIABILITY, INDEMNIFICATION, HOLD HARMLESS, AND ASSUMPTION OF THE RISK AGREEMENT.”

I Agree


The Range Complex, LLC

2850 TigerSwan Drive, Autryville, NC 28318


First Participant's Name
First Name*
Middle Name
Last Name*
Phone*
First Participant's Date of Birth*
Date of Birth
First Participant's Signature*
Second Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email
Check to receive information, news, and discounts by e-mail.
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Middle Name
Last Name*
Phone*
Parent or Guardian's Date of Birth*
Date of Birth
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!